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;i <br /> POB 36 26515 N. Sacramento Blvd. LEAK DETECT® <br /> orda Thornton, California 95686 <br /> Aft -Te� 209 794-0102 8001 524-9087 TEST REPORT <br /> 908 FAX 209 794-0112 <br /> A Owner/Contractor/Eng: TEST DATE: ENVIRONMENTAL HEALTH AGENCY: <br /> r <br /> SITE NAME: <br /> Sitc Address: f Q - Lyle D. N�11'11rt0 <br /> �� � t--? <br /> � � �Present Not Present <br /> Phone: TECH SIGNATURE: INSPECTOR NAME; <br /> 012erator Name: OTTL# 97-1143 <br /> LEAK DETECTOR KEY <br /> i <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B 99LD2000 D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION a` rates to <br /> to si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> 1 from above in seconds Ml er Minute Holdin PSI Pass/Fail <br /> _a <br /> NF <br /> P/F <br /> d. C` <br /> P/F <br /> 2= 3 F <br /> P <br /> P/F <br /> PIE <br /> P/F <br /> J <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />